Notice of Lien Rights by Subcontractors

Notice of Lien Rights and Subcontractors

PRIME CONTRACTOR (Name & Address of Prime Contractor)







SERVICES were or are to be supplied in the improvement and/or construction of real property described as follows (the “PROPERTY”):







PROPERTY OWNER (Name & Address of Party Sending Notice)







Services, labor, materials, equipment and/or work provided or to be provided by the Prime Contractor, including supervision thereof. (“SCOPE OF WORK”):







Persons or companies furnishing labor or materials for the improvement of real property may enforce a lien upon the improved property if they are not paid for their contributions, even if the parties have no direct contractual relationship with the owner.

The undersigned, above-identified as PRINCIPAL CONTRACTOR, for the construction now being performed on the above-identified PROPERTY, advises you of ITS intent to use the following subcontractors or suppliers of labor or materials in the performance of the work above-described as SCOPE OF WORK:

You are advised that such subcontractor or supplier may have lien rights if not paid for their labor or material used on this site.

List All Subs and Suppliers to be used:










Signed and dated this _________ day

of ____________________________, 20_______.



Signed by:




I, __________________________, being duly sworn, deposes and says that I am over the age of 18 years old, that this affidavit is made upon my own personal knowledge, and that on the ________ day of ________________________, 20________, I served the attached Notice of Lien Rights and Subcontractors to the following parties at these stated addresses:

[______]   Property Owner

[______]   _______________________

I served the attached document:

[______]   By personally delivering the notice to the identified parties;

[______]   By First Class Certified Mail service, return receipt requested, postage prepaid.

State of

County of

Sworn to and subscribed before me, undersigned Notary Public, on the date inscribed to the right of this verification.



Signed this ____ day

of _________________, 20____.


Agent for Prime Contractor

Signed by


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